Rahul Pillai - Academia.edu (original) (raw)

Papers by Rahul Pillai

Research paper thumbnail of Dexamethasone and Ondansetron for postoperative nausea and vomiting (PONV) following laparoscopic cholecystectomy a randomised control study

Introduction: Post-operative nausea and vomiting still occur with unacceptable frequency and the ... more Introduction: Post-operative nausea and vomiting still occur with unacceptable frequency and the description of it as the 'Big Little Problem' encapsulates much of the general perception. The incidence is quite high even after laparoscopic surgeries including gall bladder surgeries. Aims & Objectives: To assess the level of PONV following laparoscopic cholecystectomy and the effect of dexamethasone and ondansetron, individually on PONV following laparoscopic cholecystectomy. Materials & Methods: 60 patients presenting for elective laparoscopic cholecystectomy were randomised to 3 groups. Group 1 as control, group 2 received dexamethasone and group 3 received ondansetron for PONV prophylaxis. All three groups were evaluated for incidence of post-operative nausea and vomiting. Comparison of the observation among different groups was done and statistically analyzed using Fisher's exact test and Mann-whitney-U test. Results: The incidence of PONV was 50% in the control group, compared to 12% in the dexamethasone group and 22% in the ondansetron group during the first 24 hours. At 1 hour the total incidence of PONV was 85% in control group, 30% in dexamethasone group and 25% in ondansetron group. At 2 hours the total incidence of PONV was 55% in the control group, 10% in dexamethasone group and 10% in ondansetron group. At 4 hours the total incidence of PONV was 60% in control group, 5% in dexamethasone group and 15% in ondansetron group. The incidence of PONV at 8 hours was 55% in control group, 10% in dexamethasone group and 40% in ondansetron group. Conclusion: The incidence of PONV following laparoscopic cholecystectomy is high and both dexamethasone and ondansetron effectively reduce the incidence of PONV in these patients.

Research paper thumbnail of Expert opinion on pre and post procedure care in aesthetic dermatology

International Journal of Research in Medical Sciences, 2022

In clinical practice, the number of aesthetic dermatology procedures carried out in India is incr... more In clinical practice, the number of aesthetic dermatology procedures carried out in India is increasing. Nonsurgical or minimally invasive cosmetic dermatology encompasses a variety of procedures, such as chemical peels, laser therapies, dermal fillers, derma rollers and microneedling radiofrequency, which are known to be safe and effective. Despite enormous advances in the field of aesthetic dermatological procedures, many clinicians seem to have limited knowledge about the potential benefits and risks associated with aesthetic procedures. To ensure successful outcome of an aesthetic procedure and to minimise complications, one should be aware of the pre- and post-procedural care involved. This review summarized expert opinion on pre and post-procedural care needed with chemical peels, laser therapies, dermal fillers, derma rollers and microneedling radiofrequency.

Research paper thumbnail of Chemical Peels: A Must Have Armamentarium

Trichology and Cosmetology – Open Journal, 2017

Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic pract... more Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic practice, for the controlled breakdown of a part or the entire epidermis (with or without the dermis), leading to exfoliation and removal of the superficial layer of the skin. This leads to regeneration of new epidermal and dermal tissues. A chemical peel is a versatile tool in a cosmetologist’s armamentarium which is simple to use and is result oriented. It is also perhaps the most lucrative procedure for any physician; hence, becoming one of the most commonly practiced cosmetic procedures by any new practitioner. Treating various skin types can however be challenging due to the unpredictability of peels, especially when using deep chemical peels or higher concentration peels on darker skin types. Although, various parameters such as time, concentration and erythema are taken into consideration for safety purposes, the methods and procedures vary slightly depending upon the physician’s exper...

Research paper thumbnail of Fractional CO2 Laser Treatment for Vaginal Rejuvenation in Post-Menopausal Indian Women

Trichology and Cosmetology – Open Journal, 2018

Background Laser vaginal rejuvenation is a minimally invasive fractional carbon dioxide (CO2) las... more Background Laser vaginal rejuvenation is a minimally invasive fractional carbon dioxide (CO2) laser procedure for the woman with vulvovaginal atrophy (VVA), vaginal laxity and for the enhancement of sexual functioning. It has also been proposed for the woman with urge and stress urinary incontinence. CO2 stimulates collagen/elastin contraction, neocollagenesis, and neovascularization. Aim To study the efficacy of CO2 laser in the improvement of VVA, stress urinary incontinence, urge incontinence and sexual functioning. Materials and Methods Twenty-six patients who were in the menopausal transition to post-menopausal age group who presented with any one of the above-mentioned complaints were enrolled in our study. Prior to the treatment, a vaginal examination was performed to ensure patients’ eligibility for the treatment and to determine the vaginal health index score (VHIS), subjective evaluation of VVA symptoms was provided using the visual analog scale (VAS) and the vaginal tight...

Research paper thumbnail of The Prevalence of Hypocalcaemia and Streptococcal Infection in Psoriasis Vulgaris

Psoriasis can be classified as morphological variants and on location of the lesions. Morphologic... more Psoriasis can be classified as morphological variants and on location of the lesions. Morphological variants are Chronic stable plaque psoriasis, guttate psoriasis, pustular psoriasis, erythrodermic psoriasis and psoriatic arthritis [2] . Based on location they are classified into scalp psoriasis, palmoplantar psoriasis, inverse psoriasis and nail psoriasis. Out of the different clinical presentations of psoriasis, psoriasis vulgaris is the commonest variant, which is also known as chronic stable plaque psoriasis. The most characteristic lesions consist of red, scaly, sharply demarcated, indurated plaques present particularly over the extensor surfaces and scalp. The disease is enormously variable in duration, with periodicity of flares and extent [2] .

Research paper thumbnail of Squamous Cell Carcinoma under the Veil of a Trophic Ulcer in a Case of Hansen's Disease

The Journal of Medical Sciences, 2015

ABSTRACTHansen's disease is seldom associated with trophic ulcers, which over a period of tim... more ABSTRACTHansen's disease is seldom associated with trophic ulcers, which over a period of time when neglected has the potential for malignant transformation. In this case report, a 44-year-old male patient previously treated for Hansen's disease presented with non-healing plantar ulcer, who developed squamous cell carcinoma with metastasis in the lymph nodes. We highlight the importance of having a high degree of suspicion in each case as our patient was asymptomatic and repeated biopsies and lymph node Fine needle aspiration cytology (FNAC) were required to diagnosis.How to cite this articleRahim S. Squamous Cell Carcinoma under the Veil of a Trophic Ulcer in a Case of Hansen's Disease. J Med Sci 2015;1(3):60-61.

Research paper thumbnail of A Child’s Search for a Diagnosis-A Case Report of Subcutaneous Zygomycosis

Dermatology and Dermatitis, 2019

Basidiobolus species are filamentous fungi belonging to the order Entomophthorales. Unlike other ... more Basidiobolus species are filamentous fungi belonging to the order Entomophthorales. Unlike other zygomycetes, Basidiobolus species can cause subcutaneous zygomycosis in healthy individuals.Basidiobolus ranarum was first described as an isolate from frogs in 1886 and was later cultured from the intestinal contents and the excreta of frogs[2]. It is commonly found in soil, decaying vegetable matter, and the gastrointestinal tracts of amphibians, reptiles, fish and bats.3 Basidiobolus is endemic in Uganda and certain areas of Africa, India and other parts of Asia

Research paper thumbnail of Chemical Peels: A Must Have Armamentarium

Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic pract... more Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic practice, for the controlled breakdown of a part or the entire epidermis (with or without the dermis), leading to exfoliation and removal of the superficial layer of the skin.

Research paper thumbnail of Dexamethasone and Ondansetron for postoperative nausea and vomiting (PONV) following laparoscopic cholecystectomy a randomised control study

Introduction: Post-operative nausea and vomiting still occur with unacceptable frequency and the ... more Introduction: Post-operative nausea and vomiting still occur with unacceptable frequency and the description of it as the 'Big Little Problem' encapsulates much of the general perception. The incidence is quite high even after laparoscopic surgeries including gall bladder surgeries. Aims & Objectives: To assess the level of PONV following laparoscopic cholecystectomy and the effect of dexamethasone and ondansetron, individually on PONV following laparoscopic cholecystectomy. Materials & Methods: 60 patients presenting for elective laparoscopic cholecystectomy were randomised to 3 groups. Group 1 as control, group 2 received dexamethasone and group 3 received ondansetron for PONV prophylaxis. All three groups were evaluated for incidence of post-operative nausea and vomiting. Comparison of the observation among different groups was done and statistically analyzed using Fisher's exact test and Mann-whitney-U test. Results: The incidence of PONV was 50% in the control group, compared to 12% in the dexamethasone group and 22% in the ondansetron group during the first 24 hours. At 1 hour the total incidence of PONV was 85% in control group, 30% in dexamethasone group and 25% in ondansetron group. At 2 hours the total incidence of PONV was 55% in the control group, 10% in dexamethasone group and 10% in ondansetron group. At 4 hours the total incidence of PONV was 60% in control group, 5% in dexamethasone group and 15% in ondansetron group. The incidence of PONV at 8 hours was 55% in control group, 10% in dexamethasone group and 40% in ondansetron group. Conclusion: The incidence of PONV following laparoscopic cholecystectomy is high and both dexamethasone and ondansetron effectively reduce the incidence of PONV in these patients.

Research paper thumbnail of Expert opinion on pre and post procedure care in aesthetic dermatology

International Journal of Research in Medical Sciences, 2022

In clinical practice, the number of aesthetic dermatology procedures carried out in India is incr... more In clinical practice, the number of aesthetic dermatology procedures carried out in India is increasing. Nonsurgical or minimally invasive cosmetic dermatology encompasses a variety of procedures, such as chemical peels, laser therapies, dermal fillers, derma rollers and microneedling radiofrequency, which are known to be safe and effective. Despite enormous advances in the field of aesthetic dermatological procedures, many clinicians seem to have limited knowledge about the potential benefits and risks associated with aesthetic procedures. To ensure successful outcome of an aesthetic procedure and to minimise complications, one should be aware of the pre- and post-procedural care involved. This review summarized expert opinion on pre and post-procedural care needed with chemical peels, laser therapies, dermal fillers, derma rollers and microneedling radiofrequency.

Research paper thumbnail of Chemical Peels: A Must Have Armamentarium

Trichology and Cosmetology – Open Journal, 2017

Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic pract... more Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic practice, for the controlled breakdown of a part or the entire epidermis (with or without the dermis), leading to exfoliation and removal of the superficial layer of the skin. This leads to regeneration of new epidermal and dermal tissues. A chemical peel is a versatile tool in a cosmetologist’s armamentarium which is simple to use and is result oriented. It is also perhaps the most lucrative procedure for any physician; hence, becoming one of the most commonly practiced cosmetic procedures by any new practitioner. Treating various skin types can however be challenging due to the unpredictability of peels, especially when using deep chemical peels or higher concentration peels on darker skin types. Although, various parameters such as time, concentration and erythema are taken into consideration for safety purposes, the methods and procedures vary slightly depending upon the physician’s exper...

Research paper thumbnail of Fractional CO2 Laser Treatment for Vaginal Rejuvenation in Post-Menopausal Indian Women

Trichology and Cosmetology – Open Journal, 2018

Background Laser vaginal rejuvenation is a minimally invasive fractional carbon dioxide (CO2) las... more Background Laser vaginal rejuvenation is a minimally invasive fractional carbon dioxide (CO2) laser procedure for the woman with vulvovaginal atrophy (VVA), vaginal laxity and for the enhancement of sexual functioning. It has also been proposed for the woman with urge and stress urinary incontinence. CO2 stimulates collagen/elastin contraction, neocollagenesis, and neovascularization. Aim To study the efficacy of CO2 laser in the improvement of VVA, stress urinary incontinence, urge incontinence and sexual functioning. Materials and Methods Twenty-six patients who were in the menopausal transition to post-menopausal age group who presented with any one of the above-mentioned complaints were enrolled in our study. Prior to the treatment, a vaginal examination was performed to ensure patients’ eligibility for the treatment and to determine the vaginal health index score (VHIS), subjective evaluation of VVA symptoms was provided using the visual analog scale (VAS) and the vaginal tight...

Research paper thumbnail of The Prevalence of Hypocalcaemia and Streptococcal Infection in Psoriasis Vulgaris

Psoriasis can be classified as morphological variants and on location of the lesions. Morphologic... more Psoriasis can be classified as morphological variants and on location of the lesions. Morphological variants are Chronic stable plaque psoriasis, guttate psoriasis, pustular psoriasis, erythrodermic psoriasis and psoriatic arthritis [2] . Based on location they are classified into scalp psoriasis, palmoplantar psoriasis, inverse psoriasis and nail psoriasis. Out of the different clinical presentations of psoriasis, psoriasis vulgaris is the commonest variant, which is also known as chronic stable plaque psoriasis. The most characteristic lesions consist of red, scaly, sharply demarcated, indurated plaques present particularly over the extensor surfaces and scalp. The disease is enormously variable in duration, with periodicity of flares and extent [2] .

Research paper thumbnail of Squamous Cell Carcinoma under the Veil of a Trophic Ulcer in a Case of Hansen's Disease

The Journal of Medical Sciences, 2015

ABSTRACTHansen's disease is seldom associated with trophic ulcers, which over a period of tim... more ABSTRACTHansen's disease is seldom associated with trophic ulcers, which over a period of time when neglected has the potential for malignant transformation. In this case report, a 44-year-old male patient previously treated for Hansen's disease presented with non-healing plantar ulcer, who developed squamous cell carcinoma with metastasis in the lymph nodes. We highlight the importance of having a high degree of suspicion in each case as our patient was asymptomatic and repeated biopsies and lymph node Fine needle aspiration cytology (FNAC) were required to diagnosis.How to cite this articleRahim S. Squamous Cell Carcinoma under the Veil of a Trophic Ulcer in a Case of Hansen's Disease. J Med Sci 2015;1(3):60-61.

Research paper thumbnail of A Child’s Search for a Diagnosis-A Case Report of Subcutaneous Zygomycosis

Dermatology and Dermatitis, 2019

Basidiobolus species are filamentous fungi belonging to the order Entomophthorales. Unlike other ... more Basidiobolus species are filamentous fungi belonging to the order Entomophthorales. Unlike other zygomycetes, Basidiobolus species can cause subcutaneous zygomycosis in healthy individuals.Basidiobolus ranarum was first described as an isolate from frogs in 1886 and was later cultured from the intestinal contents and the excreta of frogs[2]. It is commonly found in soil, decaying vegetable matter, and the gastrointestinal tracts of amphibians, reptiles, fish and bats.3 Basidiobolus is endemic in Uganda and certain areas of Africa, India and other parts of Asia

Research paper thumbnail of Chemical Peels: A Must Have Armamentarium

Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic pract... more Chemical peeling is one of the most commonly performed cosmetic procedures in any aesthetic practice, for the controlled breakdown of a part or the entire epidermis (with or without the dermis), leading to exfoliation and removal of the superficial layer of the skin.